Maryland's All-Payer Hospital System Modernization

Care Coordination Workgroup

The purpose of this Workgroup is to facilitate multi-stakeholder discussions regarding efficient and effective implementation of population-based and patient-centered Care Coordination to support the new Maryland All-Payer Model that began on January 1, 2014. The HSCRC’s focus on Care Coordination is based on the consensus that was achieved through the Advisory Council and multiple workgroups that this should be top a top priority, including the potential for shared infrastructure and common approaches.

Care Coordination Workgroup Membership

The Health Services Cost Review Commission (HSCRC) has appointed the a diverse group of individuals to serve on the Care Coordination Workgroup. The list of workgroup members is available at the following link:

Meeting Schedule, Goals, and Documents

The Physician Alignment & Engagement Workgroup schedule is provided in the table below. Additional meetings will be added to the schedule. Please check back for the location and schedule of future meetings. Questions related to the schedule and location of meetings should be directed to:hscrc.care-coordination@maryland.gov.

Work to Date , including synthesis of Care Management paper done by HMA for the HSCRC, and Care Coordination highlights from Data & Infrastructure and Alignment & Engagement Workgroups

Frame Key Issues and Decision Points related to Care Coordination

What is a realistic timeline for Care Coordination implementation? We need balance between getting started quickly and the longerterm need for infrastructure (CRISP initiatives, workforce development, building provider collaborations). What are the potential barriers and ways to address them?

Four outside experts advise Work Group on promising care management strategies

Facilitated discussion between these experts and members of the Work Group

Key goal: To reduce hospital use without creating similar costs elsewhere; building local health system management through having hospital leaders understand the array of services and needs in their most seriously ill population. Effective care coordination can help achieve these goals through a package of services that reflect the patients’ priorities and meet all critical needs. There is a reciprocal obligation to manage the service supply and quality to create good care plans.

What are the main features of the existing landscape? Gaps, many separate initiatives without linkages? How can we develop regional and statewide collaboration to move toward a better model of coordinated care?

Selected stakeholder groups make brief presentations to the Work Group

Decisions on main features of Work Group’s conclusions

January 23, 2015

9am – 12 pm

HSCRC

Identification of the key elements of a “Toolkit” of Care Management models and practices from which hospitals and others may draw

Development of plan to avert each hospital “reinventing the wheel” by using proven strategies from the Toolkit

Identification of specific communities/regions where a group of hospitals could work together, and with advanced primary care groups and other community organizations to redesign care delivery to reduce the use of avoidable care in high-cost settings

Reports

Public Comments Submitted to the Workgroups

The Workgroup will reserve time at the end of each meeting for brief comments and questions from the public. The public is also encouraged to submit written comments related to Workgroups at any time. Comments may be sent via email to hscrc.care-coordination@maryland.gov.​